Abstract：
Heart failure is a clinical syndrome characterized by the inability of the heart to meet the circulatory demands of the body without requiring an increase in intracardiac pressures at rest or with exertion. Hemodynamic parameters can be measured via right heart catheterization, which has an integral role in the full spectrum of heart failure: from ambulatory patients to those in cardiogenic shock, as well as patients being considered for left ventricular device therapy and heart transplantation. Hemodynamic data are critical for prompt recognition of clinical deterioration, assessment of prognosis, and guidance of treatment decisions. This review is a field guide for hemodynamic assessment, troubleshooting, and interpretation for clinicians treating patients with heart failure.
摘要：
心力衰竭是一种临床综合征，其特征是心脏无法满足身体的循环需求，而无需在休息或劳累时增加心内压。血流动力学参数可以通过右心导管检查来测量，它在心力衰竭的全谱中起着不可或缺的作用：从非卧床患者到心源性休克患者，以及正在考虑接受左心室装置治疗和心脏移植的患者。血液动力学数据对于迅速识别临床恶化至关重要，预后评估，并指导治疗决策。这篇综述是血液动力学评估的现场指南，故障排除,并为治疗心力衰竭患者的临床医生提供解释。
